Reginald Douglas Booker in Flowery Branch - General Practice

Reginald Douglas Booker - NPI 1699711416

Reginald Douglas Booker is a General Practice in Flowery Branch, Georgia. Reginald Douglas Booker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Reginald Douglas Booker is 1699711416. The last update date is 2014-03-31.

Reginald Douglas Booker's current location address is 4005 Winder Hwy, Flowery Branch, Georgia. You can contact this provider via phone number 7705313232. The mailing address for Reginald Douglas Booker is 4005 Winder Hwy, Flowery Branch, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Reginald Douglas Booker
Address 4005 Winder Hwy, Flowery Branch, Georgia
Phone Number 7705313232
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1699711416
Provider Enumeration Date 2006-06-21
Last Updated Date 2014-03-31

Provider Mailing Address Detail

Address 4005 Winder Hwy
City Flowery Branch
State Georgia (GA)
Post Code 305426564
Phone Number 7705313232
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN013464
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
813355373A GA --

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FAQs about Reginald Douglas Booker

What is the unique 10-digit identifier code issued to Reginald Douglas Booker by the Centers for Medicare & Medicaid Services?

The Reginald Douglas Booker has been assigned the NPI (National Provider Identifier) 1699711416 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Reginald Douglas Booker's physical address?

The Reginald Douglas Booker is physically located at 4005 Winder Hwy, in the city of Flowery Branch, GA, with the postal code 305426564.

What is Reginald Douglas Booker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Reginald Douglas Booker is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699711416 to Reginald Douglas Booker?

The Centers for Medicare & Medicaid Services assigned the 1699711416 to Reginald Douglas Booker on 2006-06-21.

When was the information pertaining to Reginald Douglas Booker most recently updated or revised?

The details related to Reginald Douglas Booker, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-31.

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